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Interações medicamentosas

Ciprofloxacin + Magnesium citrate

Gravidade: Grave

Ciprofloxacin and Magnesium citrate: major interaction.

Última atualização Fontes: UK SmPC

Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

O conteúdo clínico desta página está disponível apenas em inglês.

Resumo

Magnesium chelates ciprofloxacin in the gut and markedly reduces its absorption. This can cause subtherapeutic antibiotic levels and treatment failure.

O que esta interação significa em palavras simples

Ciprofloxacin and Magnesium citrate can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Ciprofloxacin belongs to Anti Bacterial; Magnesium citrate belongs to Gastrointestinal Tract.

Nível de evidência: High

Por que acontece

Chelation of ciprofloxacin by polyvalent magnesium cations in the gastrointestinal tract reduces absorption.

O que fazer

Give oral ciprofloxacin at least 2 hours before or 6 hours after magnesium citrate. Avoid the combination if separation is impractical.

O que perguntar ao farmacêutico

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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Referências

Perguntas frequentes

Can I take Ciprofloxacin with Magnesium citrate?

MediHelp rates the interaction as major. Ciprofloxacin and Magnesium citrate can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Magnesium chelates ciprofloxacin in the gut and markedly reduces its absorption. This can cause subtherapeutic antibiotic levels and treatment failure.

How serious is the interaction between Ciprofloxacin and Magnesium citrate?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give oral ciprofloxacin at least 2 hours before or 6 hours after magnesium citrate. Avoid the combination if separation is impractical.

What other medicines interact with Magnesium citrate?

MediHelp also lists interactions of Magnesium citrate with, for example, Baloxavir marboxil, Bictegravir, Cabotegravir. The full list is on the Magnesium citrate page.

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